| Molly G Larson, LPC | |
|
2829 4th Ave Ste 150, Lake Charles, LA 70601-7897 | |
| (337) 480-7800 | |
| (337) 474-4552 |
| Full Name | Molly G Larson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2829 4th Ave Ste 150, Lake Charles, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336100932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 71 (Louisiana) | Secondary |
| 101YP2500X | Counselor - Professional | 2394 (Louisiana) | Primary |
| Entity Name | Mmg Archer Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952897688 PECOS PAC ID: 7719227115 Enrollment ID: O20190321002073 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly G Larson, LPC Po Box 123977 Dept 3977, Dallas, TX 75312-3977 Ph: (337) 494-2921 | Molly G Larson, LPC 2829 4th Ave Ste 150, Lake Charles, LA 70601-7897 Ph: (337) 480-7800 |
Fallon Harmon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Common St, Lake Charles, LA 70601 Phone: 337-437-4014 | |
Kimberly Chevis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Common St, Lake Charles, LA 70601 Phone: 337-437-4014 | |
Ms. Nyneisha Ruth Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Common St, Lake Charles, LA 70601 Phone: 337-437-4014 | |
Mrs. Dianna Lynn Dearden, LPC LMFT CNN RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 W Bayou Pines Dr, Suite B, Lake Charles, LA 70601 Phone: 337-310-0153 Fax: 337-310-0202 | |
Mrs. Michelle Renee Roshto, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4131 Canal St Ste B, Lake Charles, LA 70605 Phone: 337-274-8017 Fax: 833-713-2641 | |
Rebekah Anne Cox, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4216 Lake St, Lake Charles, LA 70605 Phone: 337-274-5335 | |
Laura Holmes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2706 Hodges St, Lake Charles, LA 70601 Phone: 337-491-1740 Fax: 337-491-1741 |